Unknown Facts About Addiction Helpline America

Some Known Details About Addiction Helpline America


Rehabilitation is for individuals that have actually lost capabilities that they require for everyday life. Some of one of the most common causes include: The total objective of rehabilitation is to assist you obtain your abilities back and gain back self-reliance. However the certain objectives are various for each individual (https://www.evernote.com/shard/s384/sh/955cb72d-a42b-6bf0-cd9d-7858b2a0714d/gmIb01P3fkiFiPmnuTXp4l5NiPph2_OUbCWKBL8TQp6n92TGD8GZHR7tcg). They rely on what caused the trouble, whether the reason is recurring or short-lived, which capabilities you lost, and just how serious the trouble is.


If you get care in your house, you will require to have relative or pals that can come and aid with your rehab.


With each other, these methods can help a person; get over difficulties with thinking, seeing, hearing, interacting, eating or moving about. Anybody may require rehab eventually in their lives, complying with an injury, surgical procedure, illness or health problem, or since their functioning has actually declined with age. Some examples of rehab consist of: speech and language training to boost an individual's interaction after a mind injury; exercise training to enhance muscular tissue stamina, volunteer motions and equilibrium face to faces with stroke or Parkinson condition; modifying an older individual's home environment to improve their security and freedom in your home and to minimize their threat of falls; educating a person with heart disease on how to exercise safely; preparing a person with an amputation to be able to utilize a prosthetic and making, suitable and renovating the prosthesis; placing and splinting techniques to aid with skin recovery, lower swelling, and to restore motion after shed surgery; suggesting medication to lower spasticity for a youngster with analytical palsy; mental therapies for an individual with psychological distress complying with a spinal cable injury; Social abilities training for persons with schizophrenia, autism spectrum disorders or problems of intellectual disability.




What Does Addiction Helpline America Mean?




Rehabilitation is not only for people with impairments or lasting or physical problems. Instead, rehab is a necessary wellness service for any person with an acute or chronic health condition, impairment or injury that restricts functioning, and therefore must be available for any individual that needs it. Drug Rehab Near Me. Rehabilitation is not a luxury wellness service that is available only for those that can manage it


For the complete level of the social, economic and wellness benefits of recovery to be understood, prompt, high quality and budget friendly rehab treatments ought to be offered to all. In a lot of cases, this means starting rehabilitation as soon as a wellness problem is kept in mind and remaining to provide recovery together with other health treatments.




Heroin Detox Centers Near MeAddiction Treatment Near Me
4 billion individuals are presently coping with a wellness problem that may take advantage of recovery. With changes taking place in the wellness and characteristics of the populace worldwide, this estimated need for rehab is only mosting likely to increase in the coming years. Addiction Treatment Near Me. Individuals are living longer, with the number of people over 60 years of age forecasted to double by 2050, and even more individuals are dealing with chronic conditions such as diabetes, stroke and cancer




Addiction Helpline America for Beginners


These health and wellness problems can influence an individual's operating and are connected to raised levels of disability, for which rehab can be advantageous. https://gravatar.com/addictionhelp1ine. In lots of components of the globe, this raising demand for rehabilitation is going mainly unmet. Majority of people living in some reduced- and middle-income nations who require rehabilitation solutions do not get them




Heroin Detox Centers Near MeAddiction Treatment Near Me
In enhancement to overcoming one's dependency, those participating in dependency therapy will certainly likewise discover the essential tools for constructing an efficient, healthy and balanced, and happy life. If you or somebody you care around is battling with addiction, call currently to talk to a treatment service provider.


Among the main advantages of going to a rehab center is the structure that it provides you with. Treatment programs stress producing day-to-day routines loaded with productive activities and therapy sessions to assist keep people involved and get rid of diversions. Drug Rehab Near Me. Breaks are supplied in between scheduled tasks so patients can refine what they are learning




Not known Incorrect Statements About Addiction Helpline America


When individuals have actually been experiencing an addiction to drugs or view website alcohol, they have actually established actions and means of assuming that both allow their addiction and prevent healthier behaviors. Routine ends up being very essential in changing those self-destructive habits with positive ones that focus on healing. The structure of rehabilitation establishes an easy day-to-day timetable that makes soberness a concern while keeping a balanced way of living that clients can stick to post-treatment.


It can likewise aid individuals see defects in assuming and actions that might cause unfavorable choices associated with medications and alcohol, and exactly how to positively modify those ideas and behaviors to ensure that they become more effective and healthier. Reliable treatment can furthermore reduce an individual's chances of relapsing and can help him return on track if he does relapse.


There are lots of extra choice therapy alternatives that are provided and can help people via healing, including: yoga exercise, meditation, Tai Chi, Pilates, massage, and workout routines. These are all excellent methods to launch any type of anxiety, boost psychological concentration, and the total physical and mental wellness of a person. Getting involved in one or more sorts of therapy throughout drug rehabilitation can be one of the ideal ways for an individual to preserve soberness.




Top Guidelines Of Addiction Helpline America


During this moment period, individuals will likely experience undesirable and possibly hazardous symptoms as their bodies attempt to readjust to working without the drug. Also after the first withdrawal symptoms have passed, the anxiety on the mind and body can worsen other physical and mental disorders. With close access to medical professionals and continuous treatment, patients can really feel safe as they undergo the process of coming to be sober once again.


A vital part of self-care for an individual in healing is setting and completing goals. Many individuals have actually attempted to set goals on their own and battle since they didn't method objective establishing with the appropriate attitude or conviction. The repetitive cycle of desiring to alter routines but continually falling short progressively deteriorates an individual's willpower to the factor where lots of quit trying and fall back right into their old self-destructive habits.

 

For A New Start Alcohol Rehab Austin Can Be Fun For Everyone

The Greatest Guide To For A New Start Alcohol Detox Austin

 

Listening to the tales of others, gaining from their errors and also their successes, and having somebody to talk with when times get harsh are all benefits of specialist rehab therapy. Throughout your time in rehabilitation you will be component of assistance groups. Assistance teams allow you to create solid bonds with the area and the individuals that you share your time with.


Addicts in recuperation are susceptible to wellness troubles shortly after stopping usage of the compound that they were addicted to. During this time, you might experience undesirable symptoms as your body copes without the alcohol usage it was made use of to. Also after the initial withdrawal signs and symptoms have actually passed, the stress and anxiety on the body as well as mind can intensify other physical and also mental disorders.

 

 

 

For A New Start Alcohol Detox Austin Fundamentals Explained


A great rehabilitation centre motivates all participants to take part in the therapy process, helping them deal with the condition. Looking for therapy as a system will certainly reveal you that you have assistance as well as love from your family.


They can provide clarity and also assistance on just how they can aid you when you have efficiently completed rehab. As soon as you have finished alcohol rehabilitation treatment, family members support and also borders can be the very thing that keeps you going. It is through family members therapy, treatments as well as by mosting likely to Al-anon where your liked ones learn how to help.

 

 

 

Not known Factual Statements About For A New Start Alcohol Detox Austin

 

For A New Start Adderall Meth Rehab AustinFor A New Start Adderall Meth Detox Austin
This process is especially important for any type of relative who have made it possible for the dependency. Alcohol recovery can profit your way of life by improving your relationships with those around you. Involvement of your household will show you just how committed your family is to assisting you obtain clean and also remain clean. Rejecting your family members might only boost the possibility of a regression once you have finished therapy.




Addiction is heavily connected with destitution, not due to the fact that materials are pricey, yet due to the fact that dependency is commonly a method of retreat. Lots of people living in poverty abuse materials to avoid the major issues they might be encountering in their lives. When you're living hand to mouth and struggling to make ends satisfy, alcohol can offer a pleasure principle as well as escape.

 

 

 

The For A New Start Cocaine Rehab Austin PDFs


You might begin to contact ill to function regularly and when you do make a look, the quality of your job is not fantastic - For a New Start Adderall Detox Austin. Poor work performance can suggest you lose out on promos or rewards, a cut back on changes, or you can even shed your job.


Rustenburg Dependency Care offers leading class addiction treatment, with an all natural as well as comprehensive treatment programme. If you or a loved one needs to seek help for dependency, do not wait to contact us for advice on the following residential drug rehabilitation centers steps.

 

 

 

For A New Start Adderall Detox Austin - Truths


Inpatient rehabilitation facilities are centers that somebody seeking aid for a drug or alcohol problem lives at full-time. This is in comparison to outpatient rehab when someone attends treatment throughout the day but goes house at evening. Inpatient rehab, also called property treatment, is ideal for extreme dependencies and also supplies care 24 hours a day.


The ordinary domestic therapy stay is thirty days; nevertheless, some treatment programs offer even more extended sizes of keep (generally between 60-90 days). Depending on the severity of an individual's addiction, they may attend long-term property treatment or short-term residential therapy. While it is not proper for every person, there are lots of benefits of inpatient rehabilitation.

 

 

 

Some Of For A New Start Alcohol Detox Austin

 

For A New Start Alcohol Rehab AustinFor A New Start Alcohol Detox Austin

For A New Start Cocaine Rehab AustinFor A New Start Adderall Meth Rehab Austin

From the minute an addict chooses to seek therapy, they are preparing to experience an extreme adjustment in their life. While this modification is right, it comes with its very own collection of challenges to deal with, starting with detoxing. For a person who has been abusing medicines or alcohol, the procedure of going with withdrawal and detoxing can be really unpleasant, and lots of try to prevent it for as long as feasible.

 

 



Depending upon the material and also seriousness of the addiction, withdrawal signs generally start a few hrs after the last dose of the medicine. Alcohol detoxification is similar, with withdrawal signs usually starting within 6 hours as well as are the most extreme at around 72 hours. Alcohol withdrawal decreases dramatically in extent after 72 hours to one week, which is recognized as the severe withdrawal phase.

 

 

 

The Main Principles Of For A New Start Alcohol Rehab Austin


One of the benefits of inpatient rehabilitation is that patients do not have access to alcohol or various other substances, as well as while they have the liberty to leave at any type of time, they will likely not return if they exit rehab as well as relapse. Studies have actually revealed that even more inpatients total detoxification contrasted to individuals in outpatient therapy.


Those who get rid of a material usage disorder learn the devices to stop regression as well as may go to a decreased risk for establishing one next page more compound use condition, according to a research released in JAMA, which stated, "As contrasted with those that do not recoup from an SUD, individuals that recoup have much less than half why not try these out the danger of creating a brand-new SUD. For a New Start Meth Rehab Austin.

 

 

 

Rumored Buzz on For A New Start Alcohol Rehab Austin


That is among the reasons 12-step programs like Alcoholics Anonymous have success. Having a support group of people who understand the battles of dependency and can be a shoulder to lean on is extremely advantageous, and also it may be impossible for some to ever before recuperate without it. The Drug Abuse and also Mental Wellness Providers Administration states that having social networks and also relationships that give love, hope, friendship, and also support are an important part of recuperation.


Some might think that alcohol dependency therapy is unworthy the rate, but in fact, a dependency sets you back much more than treatment. Chemical abuse prices America over $600 billion annually, yet treatment has actually been revealed to decrease prices. If you or a liked one is battling with an alcoholism, recognize that there are therapy choices available.
 

The 6-Second Trick For For A New Start Adderall Detox Houston

An Unbiased View of For A New Start Fentanyl Detox Houston


When you end up being a lot more stable and also confident in your soberness, you can lower the amount of outpatient therapy you get. Remaining sober throughout inpatient therapy is fairly very easy.


You're provided a lot of aid and support to deal with that anxiety. This can aid stop you from being bewildered.


Outpatient therapy assists move you into a life of sobriety. Also the most affordable ones have a tendency to be pricey. This suggests it won't help you as a lot.




We customize all of our outpatient treatment to fit you as an individual. This indicates you'll have complete control over how much treatment you get.




Some Known Details About For A New Start Adderall Rehab Houston


Addiction to alcohol and drugs is becoming an expanding problem in the U.S. In 2022, the National Institute on Medicine Abuse reported that 20. 4 million people were identified with compound usage problems. Just concerning 10. 3% of these people sought addiction treatment. It's critical to address the issues that cause addiction before it's too late.


Find out more regarding the advantages of specialist dependency recovery. Everyone has different tensions and triggers in their lives. Maybe something entailing injury in your past, or maybe a situational problem you're currently encountering that is making you count on medications and alcohol as a coping mechanism.




 


A 2020 CDC research located that 3 out of 4 individuals with dependency problems can make an eventual healing. However without dependency counseling and various other resources of expert help, this is not an achievable objective to reach by yourself. Particularly educated addiction therapists understand the indicators of dependency and also relapse.


It can be a battle for those close to you when you're undergoing treatment for dependency recovery. When you look for out specialist assistance, it opens up the door to a dependency recuperation community.




What Does For A New Start Adderall Detox Houston Mean?


These sources help them browse with the complex procedure. With even more understanding and also assistance, they can better sustain their enjoyed ones in dependency recovery. The dependency regression prices for individuals seeking dependency in their first year find this of healing loss between 40% to 60%. Though these percentages are high, they are not unusual.




For A New Start Fentanyl Rehab HoustonFor A New Start Alcohol Rehab Houston

For A New Start Adderall Rehab HoustonFor A New Start Adderall Detox Houston

Addiction recuperation is not a straight procedure. They can assist you put a plan into activity to protect against drug as well as alcohol relapse.


If you do regression, there is no pity in going with rehab therapy once more until you have actually recouped. These are the individuals that have gone via their dependency recovery trip.


Alcoholics Confidential is the most popular and also extensively referenced 12-step program, but it's not the only one. Having a 12-step program can also assist in the dependency recovery process.


 

All about For A New Start Alcohol Rehab Houston


Professional treatment is the vital to increasing above your dependency and also living your ideal life. You need to take the very first action as well as get to out to obtain the aid you require. Discover the aid you require at Comprehensive Health Centers.


Utilizing medications and also alcohol can have significant effects throughout every part of your life. While you may recognize deep down that you require to stop, you might likewise find it hard to persuade yourself that it's really time to get aid.


One of the most significant advantages of getting sober is that it will help you boost your memory, your emphasis, as well as your psychological quality. Both medicines and also alcohol can influence the strength of your focus as well as your lasting and also short-term memory.




Not known Details About For A New Start Fentanyl Rehab Houston


For A New Start Cocaine Rehab HoustonFor A New Start Adderall Detox Houston
Becoming sober again can aid you avoid the challenges that can come from these severe conditions and also will useful source certainly help you live much longer therefore. If you have actually been a long time drug addict, possibilities are that it has had a result on your appearance in some severe means. By being a medication or alcohol user your appearance might have declined a fair bit gradually, you may have put on weight, or you may look a lot older than your real age.Data from Massachusetts General Health center's Recovery Research Institute (RRI) indicates that the typical more variety of efforts prior to success in recuperation is five, though the median number is better to two, which implies that there are a few select situations of severe as well as chronic addiction that are making the numbers trend greater.

 

Things about For A New Start Fentanyl Rehab Escondido

For A New Start Fentanyl Rehab Escondido Fundamentals Explained

 

Listening to the tales of others, picking up from their errors and their successes, and having someone to speak with when times obtain harsh are all benefits of specialist recovery therapy. During your time in recovery you will certainly become part of support groups. Support system permit you to develop strong bonds with the area as well as the people that you share your time with.


Addicts in recovery are at risk to health issues soon after quiting use the material that they were addicted to. During this time around, you might experience undesirable signs as your body copes without the alcohol intake it was utilized to. Even after the preliminary withdrawal signs have passed, the stress on the body and also mind can aggravate other physical and psychological illnesses.


A great rehabilitation centre motivates all members to take part in the therapy process, aiding them deal with the illness. For a New Start Meth Rehab Escondido. Seeking therapy as an unit will certainly show you that you have assistance as well as love from your household.

 

 

 

For A New Start Cocaine Rehab Escondido Things To Know Before You Get This


They can offer quality and guidance on exactly how they can aid you when you have successfully completed rehab. As soon as you have finished alcohol recovery therapy, family members support as well as boundaries can be the very thing that maintains you going. It is through family members therapy, therapies as well as by mosting likely to Al-anon where your enjoyed ones learn just how to help.


This process is specifically essential for any household members who have actually allowed the addiction. Alcohol rehabilitation can benefit your way of living by enhancing your relationships with those around you. Participation of your family will show you exactly how fully commited your family members is to helping you obtain tidy and stay tidy. Avoiding your family members might just raise the opportunity of a relapse when you have completed therapy.


Dependency is heavily connected with destitution, not because compounds are pricey, however since addiction is commonly a means of getaway. Many individuals living in hardship abuse materials to avoid the major problems they may be dealing with in their lives. When you're living hand to mouth and having a hard time to make ends satisfy, alcohol can offer a pleasure principle and also getaway.

 

 

 

The Definitive Guide for For A New Start Alcohol Detox Escondido


You might begin to contact ill to work extra commonly and when you do make an appearance, the quality of your job is not terrific. Poor job performance can indicate you miss out on promotions or perks, a reduce on shifts, or you can also shed your job.


Inpatient rehabilitation, also called domestic treatment, is appropriate for extreme addictions and provides care 24 hrs a day.

 

 

 

The Ultimate Guide To For A New Start Fentanyl Detox Escondido

 

For A New Start Meth Detox EscondidoFor A New Start Adderall Detox Escondido
The typical residential therapy stay is one month; however, some therapy programs offer more extensive lengths of remain (generally between 60-90 days). Relying on the intensity of an individual's addiction, they may go to lasting property therapy or temporary residential therapy. While it is not ideal for everybody, there are several benefits of inpatient rehabilitation.




From the minute an addict determines to seek treatment, they are preparing to go through an extreme change in their life. While this adjustment is for the much better, it comes with its very own collection of challenges to encounter, beginning with detoxification.


Depending on the compound as well as intensity of the addiction, withdrawal signs generally begin a couple of hrs after the last dosage of the drug. Alcohol detoxification is similar, with withdrawal signs and symptoms generally beginning within 6 hours as well as are the most extreme at around 72 hrs. For a New Start Cocaine Detox Escondido. Alcohol withdrawal decreases dramatically in extent after 72 hrs to one click here for more week, which is called the severe withdrawal stage.

 

 

 

For A New Start Meth Detox Escondido Can Be Fun For Everyone


Among the benefits of inpatient rehab is that people do not have accessibility to alcohol or other compounds, and while they have the liberty to leave any time, they will likely not come back if they leave rehab day treatment centers and also regression. Research studies have actually shown that even more inpatients full detox contrasted to individuals in outpatient treatment.


Those that overcome a substance use problem learn the devices to stop regression and also might be at a reduced threat for establishing another substance usage condition, according to a research published in JAMA, which stated, "As contrasted with those that do not recover from an SUD, people that recuperate have less than half the risk of creating a brand-new SUD.

 

 

 

For A New Start Alcohol Detox EscondidoFor A New Start Cocaine Rehab Escondido

 



That is just one of the reasons 12-step programs like Alcoholics Anonymous have success. Having an assistance system of people who recognize the battles of addiction as well as can be a shoulder to lean on is very advantageous, as well as it might be difficult for some to ever before recover without it. The Drug Abuse and also Mental Wellness Solutions Management states that having social networks as well as about his partnerships that provide love, hope, relationship, as well as support are a vital part of healing.

 

 

 

Examine This Report on For A New Start Meth Rehab Escondido


Some might believe that alcoholism therapy is unworthy the rate, but in truth, an addiction sets you back even more than therapy. Chemical abuse prices America over $600 billion every year, yet therapy has been revealed to minimize costs. If you or a liked one is battling with an alcohol addiction, know that there are therapy alternatives available.
 

How For A New Start Meth Detox Tampa can Save You Time, Stress, and Money.

How For A New Start Cocaine Rehab Tampa can Save You Time, Stress, and Money.

 

Healing is well worth the workand so are you. The Senior Content Writer right here at Recovery Unplugged, Dominic Nicosia looks after the upkeep of our on the internet blog while also taking care of and supervising all created communications within Marketing. He also writes short articles, thought management pieces, and generally every little thing written concerning web material.


Drug courts, which combine therapy with incentives and sanctions, compulsory as well as random medication testing, and also aftercare, are a tried and tested device for enhancing public wellness and also public safety and security. They supply an ingenious device for advertising cooperation among the judiciary, district attorneys, communitycorrections agencies, drug treatment suppliers, and other neighborhood assistance teams. These unique courts have actually been operating in the United States for greater than twenty years, and also their efficiency is well documented.


 

 

 


Drug court programs have a tangible effect on criminal relapse. A research study funded by the Division of Justice analyzed rearrest rates for medication court grads and also located that nationally, 84 percent of medicine court grads have actually not been rearrested as well as charged with a serious criminal activity in the first year aftergraduation, and also 72.

 

 

 

For A New Start Alcohol Detox Tampa for Dummies


This educational program will consist of info on the clinical aspects of addiction, therapy, and also healing, and just how to involve chemical abuse solution providers. ONDCP is giving the financing for this training program, which will certainly qualify for Police Policeman Requirements as well as Training (BLOG POST) for the enrolled police police officers. With the development of medication courts throughout the nation, it is crucial to ensure requirements for medication court execution and also procedures are effectively disseminated to the area.

 

 

 

For A New Start Adderall Meth Detox TampaFor A New Start Meth Detox Tampa
People keep making use of the medicine even when they understand it is causing or will certainly trigger troubles. The most severe material usage disorder is often called addiction.


It also means communications between the disorders that can get worse both. Comorbid mental disorders as well as compound use condition prevail, with regarding fifty percent of individuals that have one condition additionally having the various other. An additional term for co-occurring problem and comorbidity is dual-diagnosis (For a New Start Meth Detox Tampa). An individual with a twin diagnosis has both a psychological health disorder and an alcohol or drug problem.

 

 

 

The For A New Start Meth Detox Tampa PDFs


According to the National Institute of Wellness (NIH), Concerning fifty percent of people who have a mental health condition will likewise have a compound use problem eventually in their lives and also vice versa. Someone with a co-occurring mental health issue and drug or alcohol dependency have to deal with both opioid treatment centers problems.


There is no commitment. Call our hotline today. Genetics is connected to around 40 to 60 percent of an individual's vulnerability to substance content use disorders. This is brought on by intricate interactions amongst numerous genetics as well as hereditary interactions with environmental impacts. Research study suggests that there are many genes that might add to the threat for both addiction as well as mental conditions, consisting of those that affect the action of neurotransmittersthese are the chemicals that send messages from one nerve cell to anotherthat are influenced by medications and generally dysregulated in mental ailment, such as serotonin and also dopamine.

 

 

 

For A New Start Adderall Detox TampaFor A New Start Meth Detox Tampa
Numerous environmental elements are connected with a boosted threat for mental illness and substance utilize problems, consisting of persistent tension, injury, and also damaging childhood years experiences. Most of these elements are flexible and therefore, avoidance treatments will generally result in reductions in both conditions. Stress and anxiety is a well-known risk element for a great deal of psychological ailments and also as a result provides one most likely common neurobiological link in between the disease processes of mental illness as well as compound make use of conditions.

 

 

 

7 Simple Techniques For For A New Start Adderall Meth Detox Tampa


According to the Substance Abuse and also Mental Health Solution Management (SAMHSA), study has shown that individuals that involve in integrated therapy are more probable to: Keep sober, Live independently, Browse through the health center much less commonly, Keep stable employment, Record feeling better with their lives, See a considerable reduction of their signs Treating simply one condition will not cause the various other to instantly improve.


Inpatient rehab centers are facilities that somebody seeking aid for a medicine or alcohol problem lives at full-time. This is in contrast to outpatient rehabilitation when someone participates in therapy throughout the day however goes residence at evening. For a New Start Adderall Detox Tampa. Inpatient rehabilitation, also called residential treatment, is appropriate for extreme addictions as well as uses treatment 24 hr a day.


The ordinary residential therapy stay is thirty day; however, some treatment programs offer even more extensive lengths of remain (typically between 60-90 days). Relying Clicking Here on the severity of an individual's dependency, they might attend long-term household treatment or temporary residential treatment. While it is not suitable for every person, there are numerous advantages of inpatient rehab.

 

 

 

For A New Start Meth Detox Tampa Things To Know Before You Get This


From the minute an addict decides to look for treatment, they are preparing to experience a drastic change in their life. While this change is right, it features its own collection of difficulties to encounter, starting with cleansing (For a New Start Adderall Meth Detox Tampa). For someone that has been abusing drugs or alcohol, the process of going with withdrawal and detoxing can be really unpleasant, as well as numerous attempt to avoid it for as lengthy as feasible.


Depending on the substance and also severity of the addiction, withdrawal signs and symptoms generally begin a couple of hrs after the last dose of the drug. Alcohol detoxification is comparable, with withdrawal signs generally starting within 6 hrs and also are the most severe at around 72 hrs. Alcohol withdrawal decreases substantially in seriousness after 72 hrs to one week, which is referred to as the intense withdrawal stage.
 

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15